EAST TENNESSEE PODIATRY ASSOCIATES PLLC NPI 1669054318

NPI Information

EAST TENNESSEE PODIATRY ASSOCIATES PLLC is a foot and ankle surgery podiatrist in Kingsport, TN. EAST TENNESSEE PODIATRY ASSOCIATES PLLC NPI is 1669054318. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Frontier Foot & Ankle Specialists.

The provider's business location address is:

1 SHERIDAN SQ STE 102
KINGSPORT, TN
ZIP 37660-398
Phone: (423) 722-5200

The provider's authorized official is Ann Wolford .
The authorized official title is Owner and has the following contact phone number (423) 722-5200.

The CLIA number assigned to this NPI record is 44D0666236 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/22/2021 and was last updated on 6/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.